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NUR 210 EXAM 2 GALEN COLLEGE OF NURSING EXAM QUESTIONS and ANSWERS
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NUR 210 EXAM 2 GALEN COLLEGE OF NURSING EXAM QUESTIONS and ANSWERS
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NUR 210 EXAM 2 GALEN COLLEGE OF NURSING EXAM 2024-2025 QUESTIONS and ANSWERS
The patient complains of frontal sinus pressure with purulent drainage and that started 10 days
ago but on day two or three the symptoms seemed to improve then worsen again. Patient now
has a temp of 101F. What would be the most likely diagnosis?
a) Recurrent allergic sinusitis.
b) Acute Bacterial rhinosinusitis
c) Chronic rhinosinusitis
d) Viral sinusitis
You are seeing a six year old boy with no known drug allergies, who has been treated for three
separate cases of bacterial rhinosinusitis in the past
year, the last was 25 days ago and completed a 10 day course of low dose Amoxicillin. The
patient currently has purulent drainage and complains of moderated frontal sinus pain. The
patient's temperature is 101 orally. What is the appropriate course of treatment?
a) Start the patient on nasal decongestant and pain relievers only.
b) Wait and observe in 2-3 days.
c) High dose Amoxicillin
d) Augmentin
--A 16-year-old boy comes into your practice complaining of hearing loss and severe pain of his
left ear. On examination, you find a perforated tympanic membrane. Which response is most
likely to have caused the perforation?
,a) He says he and his friends were messing around playing a "slapping game." He reports
getting an open-handed slap to the left side of his head
b) He says that he does not use cotton swabs to clean out ear wax
c) He was sleeping and woke up with the pain
d) He went swimming two months ago
A 6-year-old girl has been brought to your clinic with a chief complaint of ear pain. When you
grasp the pinna of the ear, he says "that hurts really bad" and she is crying. These findings are
consistent with a diagnosis of:
a) Serous otitis media
b) Mastoiditis
c) Otitis externa
d) Cholesteatoma
What injury would be an immediate referral to the emergency department and referral to ENT?
A) Epistaxis lasting for 10 mins
B) 5 y/o with complaints of a sore throat and palpable lymph nodes
C) 14y/o that got hit with a baseball in the nose that had doubled in size
D) A fussy infant pulling at her ear
Which of the following anatomic areas are involved with sensorineural hearing loss?
A) Outer ear
,B) Middle ear
C) Inner Ear
D) Cranial nerve VIIII
When differentiating between rhinosinusitis and allergic sinusitis, allergic sinusitis does not
typically present with:
a) Nasal congestion
b) Facial pain
c) Postnasal drip
d) Infraorbital cyanosis
An 8-year-old female patient presents to your office with a sudden onset of sore throat, fever,
chills, nausea and headache. The physical exam reveals swollen, tender lymph nodes,
pharyngeal erythema and petechiae and bilateral tonsillar inflammation with white-grey patchy
exudate. Pressure on the tonsils produced purulent drainage. What is a likely diagnosis?
a) Viral pharyngitis
b) Upper respiratory tract infection
c) Bacterial pharyngitis
d) Peritonsillar abscess
Logan is a 2 y/o male presenting with persistent fussiness, low grade fever (100.4) and mother
reports he has been pulling at his ears. Logan is diagnosed with an inner ear infection. His
mother asks why he keeps getting them, what is your rationale?
, A. Once a patient has one ear infection they are likely to get another
B. Because of Logan's age and structure of his ears (shorter, narrower, and more horizontal
Eustachian tubes) this puts him at great risk for infections.
C. Because of Logan's age and structure of his ears (longer, more vertical Eustachian tubes)
this puts him at greater risk for infections
D. None of the Above
D - ANSWER--All of the following are considered risk factors for increased risk of ENT infections
EXCEPT?
A. Frequent swimming
B. Age
C. Smoking or tobacco use
D. Frequent flying
A - ANSWER--Patient presents with ear pain, how do you diagnosis otitis externa vs. otitis
media?
A. Otitis externa: sore when pull on pinna and rub tragus
B. Otitis media: sore when pull on pinna and rub tragus C. Otitis externa: red bulging
tympanic membrane
D. Otitis externa: effusion middle ear
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